Individual
ELVIRA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
11550 INDIAN HILLS RD STE 371, MISSION HILLS, CA 91345-1252
(818) 927-6686
Mailing address
4140 W 190TH ST, TORRANCE, CA 90504-5513
(818) 213-0099
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
95012783
CA
363LG0600X
Gerontology Nurse Practitioner
Primary
95012783
CA
Other
Enumeration date
10/09/2019
Last updated
06/29/2023
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